COPD NCLEX TEST PAPER 2025/2026 QUESTIONS WITH
SOLUTIONS MARKED A+
✔✔The nurse is assessing a client who has chronic bronchitis. Which symptom should
the nurse expect to find? (Select all that apply.)
Distended neck veins
Barrel chest
Wheezing
Diminished breath sounds
Cough with sputum production - ✔✔Distended neck veins
Wheezing
Cough with sputum production
✔✔The nurse is assessing a client diagnosed with emphysema. Which clinical
manifestation should the nurse expect to find? (Select all that apply.)
Barrel chest
Diminished breath sounds
Cough with copious amounts of sputum
Hypercapnia noted within laboratory results
Use of accessory muscles when breathing - ✔✔Barrel chest
Diminished breath sounds
Use of accessory muscles when breathing
✔✔The nurse is describing the effects of smoking. Which effect should be included?
(Select all that apply.)
Constriction of smooth muscle
Destruction of airways
Inhibited function of alveolar macrophages
, Atrophy of mucus-secreting glands
Enhanced ciliary movement - ✔✔Constriction of smooth muscle
Destruction of airways
Inhibited function of alveolar macrophages
✔✔Which condition should the nurse understand occurs in the pathophysiology of
emphysema? (Select all that apply.)
Excessive mucus produced
Decrease in cilia function
Fluid buildup in the lungs
Loss of elastic recoil of the lungs
Enlargement of the alveoli - ✔✔Loss of elastic recoil of the lungs
Enlargement of the alveoli
✔✔The nurse is teaching coughing techniques to a client with chronic obstructive
pulmonary disease. Which technique should the nurse include?
Cough twice, the first time to loosen mucus and the second time to expel secretions.
Limit fluid intake to decrease pulmonary secretions.
Inhale deeply through the mouth prior to huff coughing.
Utilize oxygen therapy as needed. - ✔✔Cough twice, the first time to loosen mucus and
the second time to expel secretions.
✔✔The nurse is discussing dietary changes for a client with chronic obstructive
pulmonary disease. Which advice should the nurse include?
Follow a high-carbohydrate diet.
Restrict fluids.
Increase dairy products.
Follow a low-salt diet. - ✔✔Follow a low-salt diet.
SOLUTIONS MARKED A+
✔✔The nurse is assessing a client who has chronic bronchitis. Which symptom should
the nurse expect to find? (Select all that apply.)
Distended neck veins
Barrel chest
Wheezing
Diminished breath sounds
Cough with sputum production - ✔✔Distended neck veins
Wheezing
Cough with sputum production
✔✔The nurse is assessing a client diagnosed with emphysema. Which clinical
manifestation should the nurse expect to find? (Select all that apply.)
Barrel chest
Diminished breath sounds
Cough with copious amounts of sputum
Hypercapnia noted within laboratory results
Use of accessory muscles when breathing - ✔✔Barrel chest
Diminished breath sounds
Use of accessory muscles when breathing
✔✔The nurse is describing the effects of smoking. Which effect should be included?
(Select all that apply.)
Constriction of smooth muscle
Destruction of airways
Inhibited function of alveolar macrophages
, Atrophy of mucus-secreting glands
Enhanced ciliary movement - ✔✔Constriction of smooth muscle
Destruction of airways
Inhibited function of alveolar macrophages
✔✔Which condition should the nurse understand occurs in the pathophysiology of
emphysema? (Select all that apply.)
Excessive mucus produced
Decrease in cilia function
Fluid buildup in the lungs
Loss of elastic recoil of the lungs
Enlargement of the alveoli - ✔✔Loss of elastic recoil of the lungs
Enlargement of the alveoli
✔✔The nurse is teaching coughing techniques to a client with chronic obstructive
pulmonary disease. Which technique should the nurse include?
Cough twice, the first time to loosen mucus and the second time to expel secretions.
Limit fluid intake to decrease pulmonary secretions.
Inhale deeply through the mouth prior to huff coughing.
Utilize oxygen therapy as needed. - ✔✔Cough twice, the first time to loosen mucus and
the second time to expel secretions.
✔✔The nurse is discussing dietary changes for a client with chronic obstructive
pulmonary disease. Which advice should the nurse include?
Follow a high-carbohydrate diet.
Restrict fluids.
Increase dairy products.
Follow a low-salt diet. - ✔✔Follow a low-salt diet.
